Sebastian Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.019569 Issued in OH

Legal business name

SEBASTIAN DENTAL LLC

Practice address

3416 Columbus Ave
Dental Office
Sandusky, OH 44870-5557

Phone

(419) 625-2454

NPI assigned

Aug 19, 2011

Last updated

Sep 13, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carlyn M Sebastian, DDS

Title

Dentist/Owner

Phone

(419) 357-2640

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlyn M Sebastian-Wise, DDS

  • General Practice Dentistry
  • Sandusky, OH
  • NPI 1952514200
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1760762926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 196",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448390196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 COLUMBUS AVE",
            "address_2": "DENTAL OFFICE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705557",
            "telephone_number": "419-625-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTIAN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "SEBASTIAN",
        "authorized_official_first_name": "CARLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "419-357-2640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.019569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Schultz
• Lori Scott
• Ryan Scovanner, FNP-C
• Seasons of Life Counseling Inc
• Seattle View LLC
• Carlyn M Sebastian-Wise, DDS
• Dzanela Sehic, LICDC
• William Oliver Semans, D.D.S.
• Alejandra C Shaffer
• Lisa Shaffer

• General Practice Dentistry in Sandusky, OH
• Providers in Sandusky, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.